Odaibo, Stephen Gbejule

Odaibo, Stephen Gbejule is an individual health care provider with primary practice located at 120 N Eagle Creek Dr Ste 500 , Lexington KY 40509. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Odaibo, Stephen Gbejule can be contacted via phone (859) 263-3900.

Contact Information

Primary practice address
120 N Eagle Creek Dr Ste 500 Lexington KY 40509
Phone: (859) 263-3900
Fax: (859) 263-3757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD-42794 Iowa
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 52803 Kentucky

Profile Details

NPI number 1174840920
LBN Legal business name Odaibo, Stephen Gbejule
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2010
Last updated Aug 26th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174840920 NPPES
Ohio MEDICAID 0138707
Ohio MEDICAID 1174840920
Ohio MEDICAID 300025893
Ohio MEDICAID 7100596590

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